The practice of surgery . epididy-mis, whether resulting from injury or disease. Such acute complicatinghydroceles require little treatment beyond the care of the underhinglesion. Sometimes, if the accumulated fluid persists for long, it may HYDROCELE 471 be drawn off through a trocar (aspiration of the distended scrotum witha hollow needle). Chronic hydrocele of the tunica vaginalis is the condition com-monly meant by the term hydrocele. The cause of chronic hydro-cele is not entirely apparent, though such recent observers as Kocher,Langerhans, and Konig have found evidence of inflammation bo
The practice of surgery . epididy-mis, whether resulting from injury or disease. Such acute complicatinghydroceles require little treatment beyond the care of the underhinglesion. Sometimes, if the accumulated fluid persists for long, it may HYDROCELE 471 be drawn off through a trocar (aspiration of the distended scrotum witha hollow needle). Chronic hydrocele of the tunica vaginalis is the condition com-monly meant by the term hydrocele. The cause of chronic hydro-cele is not entirely apparent, though such recent observers as Kocher,Langerhans, and Konig have found evidence of inflammation both inthe accumulated fluid and in the wall of the sac. Traumatism may bea cause of hytlrocele, and small retention cysts (spermatocele), eitherin the testis or epididymis, may give rise in turn to hydrocele. What-ever the cause, chronic hydrocele develops slowly, often with thickeningof the tunica, and an accumulation of fluid within its cavity. Thisform of serous accumulation differs markedly in its origin from effusion. Fig. 305.—Use of the hydroscope for inspecting a hjairocele. into the pleural cavit}—an effusion commonly tuberculous. Long-standing hydroceles grow to a great size, and the sac often becomes one-fourth inch thick or more. The tumor ma}^ be as large as a childs headeven. It is unilateral generally. The symptoms of hydrocele are annoying rather than onset is insidious. There is some sense of dragging and weight,but generally the patient complains of the size onl} of the sac is rather ovoid in shape, and the swelling extends from the tipof the scrotum up toward the inguinal ring. You must differentiate itfrom inguinal hernia. Both fluctuate, but hydrocele is rather the moretense. Hydrocele does not vary in size with the position of the patientnor is there to be felt an impulse on coughmg. The classic demonstra- 472 GENITO-URINARY ORGANS tion of hydrocele consists in looking through it at a strong light and usingas an instrument of ins
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
